Ukwelashwa okusha kokulondoloza amehlo! Ake sifunde ngomuthi wokugomela i-Verteporfin?

Amehlo afana nezinto, akunjalo? Ngakho-ke ngezinye izikhathi, lapho umbono wethu uthintwa yizifo zamehlo, sizizwa sesaba kakhulu. Kodwa ungakhathazeki, ngokuthuthuka kwesayensi yezokwelapha, kuye kwavela izindlela ezintsha zokwelapha izimo ezinjalo. Namuhla, sizokhuluma ngokwelashwa okukhethekile okunjalo.

Iyini le Verteporfin?

Kalula nje, i-Verteporfin akuyona nje isidakamizwa. Isidakamizwa esisebenza ngokukhanya esisetshenziselwa ukwelapha izifo ezithile zamehlo. Kungenzeka ukuthi uke wezwa ngalo muthi ngegama lomkhiqizo i-Visudyne.

Lo muthi uvame ukusetshenziswa:

• Ukonakala kwe-Macular: Lesi yisimo lapho i-macula, ingxenye ebalulekile ye-retina, yonakala khona. Lokhu kungabangela ukubona okufiphele noma okuphambene. Lesi simo sivame kakhulu ngokweminyaka.
• I-Pathologic Myopia: Abanye abantu bane-myopia, okuyisimo lapho bengakwazi ukubona eduze. Lokhu kungaba nzima ngezinye izikhathi futhi kubangele ezinye izinkinga kanye nomonakalo ngaphakathi kweso. Lokhu kubizwa ngokuthi i-pathologic myopia.
• I-Ocular Histoplasmosis Ecatshangelwayo: Lesi yisimo esingabangelwa ukutheleleka kwesikhunta okuthinta iso. Singabangela ukwakheka kwemithambo yegazi engavamile ngaphakathi kweso, okubangela ukopha kanye nokulahlekelwa umbono.

Into ekhethekile ngalo muthi we-Verteporfin ukuthi awusebenzi nje kuphela. Ukuze usebenze, udinga ukudalulwa ekukhanyeni okukhethekile. Yilokho esikubiza ngokuthi i-photodynamic therapy (PDT) . Njengomseshi, lo muthi uya endaweni enesifo ngaphakathi kweso bese uqala ukusebenza lapho ukukhanya kwe-laser kushaya. Ngale ndlela, imithambo yegazi eyonakele iyavalwa, okuvimbela lesi sifo ukuba siqhubeke nokuba sibi kakhulu.

Umgomo oyinhloko walokhu kwelashwa ukuvimbela isifo sakho samehlo ukuba singabi sibi kakhulu nokulondoloza umbono wakho wamanje ngangokunokwenzeka.

Izinto okufanele uzitshele udokotela wakho ngaphambi kokuthola lokhu kwelashwa

Manje, uma udokotela wakho enquma ukukunikeza lolu hlobo lokwelashwa, kunezinto ezimbalwa okufanele umtshele zona nakanjani. Kubaluleke kakhulu ukumtshela lezi zinto ngaphandle kokuzifihla , ngoba yileyo ndlela angakunikeza ngayo ukwelashwa ngokuphephile.

Nazi ezinye izinto okufanele uzisho ngokuqinisekile:

• Uma unesifo sesibindi .
• Kukhona isifo esithile esibizwa ngokuthi i-Porphyria . Lesi yisifo esingavamile esibangelwa ufuzo noma esihlobene nekhemikhali egazini.
• Uma usanda kuthola ukwelashwa ngemisebe , noma okwamanje uyakuthola.
• Uma une -allergy kulo muthi, i-Verteporfin, noma eminye imithi, ukudla, udayi, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa .
• Uma ungumama oncelisayo .

Uyisebenzisa kanjani le mithi? / Kwenziwa kanjani ukwelashwa?

Kulungile, manje ake sibone ukuthi lokhu kwelashwa kusebenza kanjani. Kwenziwa ngendlela ekhethekile kancane.

1. Ukujova umuthi: Okokuqala, umuthi i-Verteporfin ujovwa emthanjeni wakho. Kufana nokukunikeza isisombululo se-saline. Lokhu kwenziwa udokotela noma ilungu labasebenzi bezokwelapha abaqeqeshiwe esibhedlela noma emtholampilo.

2. Ukwelashwa Nge-Laser (PDT): Ngemva kokujova sekuqediwe, isinyathelo sesibili sokwelashwa nge-photodynamic (PDT) siyaqala. Udokotela wakho uzoqala ngokufaka amaconsi emehlweni akho. Ngemuva kwalokho, kuzobekwa ilensi yokuxhumana ekhethekile phezu kweso lakho. Okulandelayo, isikhathi esingaphezudlwana komzuzu, ukukhanya okukhethekile kwe-laser kuzogxila esweni lakho. Lokhu kukhanya kwe-laser kuzosebenzisa umuthi ojovwe ngaphambilini. Ungakhathazeki, le laser ayikhiqizi ukushisa, ngakho ngeke ikushise iso lakho.

Ngezinye izikhathi, uma izinkinga zakho zokubona ziphinde zibuya, ungase udinge olunye ukwelashwa cishe ezinyangeni ezintathu.

Uma kunikezwa izingane: Kufanele kuqashelwe ngokukhethekile lapho kunikezwa lo muthi ezinganeni ezincane. Udokotela wakho uzokuchazela lokhu.

Ukweqisa umthamo: Uma ucabanga ukuthi usuthathe lo muthi omningi kakhulu, shayela isibhedlela esiphuthumayo noma isikhungo sokulawula ubuthi ngokushesha.

Ungabelani ngalo muthi nabanye: Lo muthi ungowakho kuphela. Ungabelani ngalo muthi nanoma ubani omunye.

Kuthiwani uma ngiphuthelwa yi-aphoyintimenti?

Lo muthi awusetshenziswa nsuku zonke. Okusho ukuthi, awusiwo umuthi otshelwa ukuthi uwuthathe nsuku zonke. Kodwa-ke, kufanele nakanjani uye kuma-aphoyintimenti okulandela udokotela wakho ukuze ahlole ukuthi uqhuba kanjani ngemva kokwelashwa. Ungaweqi lawo ma-aphoyintimenti. Uma ungakwazi ukuya nganoma yisiphi isizathu, yazisa udokotela wakho ngakho.

Ezinye izinto ezingase zihlangane nalo muthi (Ukusebenzisana)

Lokhu kubaluleke kakhulu. Kufanele utshele udokotela wakho nganoma yimiphi eminye imithi oyithathayo, imithi yamakhambi oyisebenzisayo, imithi engekho ngaphansi kukadokotela oyithathayo, noma izithasiselo zokudla ozithathayo. Futhi, uma ubhema, uphuza utshwala, noma usebenzisa eminye imithi, mtshele ngakho. Ngoba ezinye izinto zingase zihlangane ne-Verteporfin. Uma kunjalo, umuthi ungase ungasebenzi kahle noma ubangele eminye imiphumela emibi.

Nazi izibonelo ezimbalwa zezinto ezingase zihlangane nalo muthi:

• Utshwala
• I-aspirini kanye nemithi efana ne-aspirin
• I-Beta-carotene (lokhu kuhlobene ne-vitamin A)
• Ama-calcium-channel blocker (isib., imithi yokucindezeleka kwegazi okuphezulu njenge-Diltiazem, i-Nifedipine, ne-Verapamil)
• Eminye imithi evimbela ukujiya kwegazi (isibonelo, `(Apixaban)`, `(Warfarin)`)
• Eminye imithi yesifo sikashukela (isib. i-Glipizide, i-Glipizide)
• I-Dimethyl sulfoxide `(Dimethyl sulfoxide)`
• I-Griseofulvin (lena iyisidakamizwa sokulwa ne-fungus)
• I-Mannitol
• Iziqeda-zinhlungu kanye nemithi yokulwa nokuvuvukala (i-NSAIDS) (isib., i-Ibuprofen, i-Naproxen)
• Ama-Phenothiazine (isib., izidakamizwa ezisetshenziselwa ukwelapha izifo zengqondo, njenge-Chlorpromazine)
• I-Polymyxin B (lena i-antibiotic)
• Ukwelashwa ngemisebe
• Imithi ye-Sulfonamide (njenge-Sulfamethoxazole)
• Ama-tetracycline angama-antibiotic eqembu le-tetracycline.
• I-Thiazide diuretics (imithi ebangela ukwanda kokuchama, njenge-Hydrochlorothiazide)
• I-Vitamin A kanye ne-Vitamin E.

Lolu hlu lungase lungafaki konke, ngakho-ke kungcono ukutshela udokotela wakho ngakho konke okuthathayo.

Yini okufanele uyiqaphele ngemva kokwelashwa?

Lokhu kuyinto okufanele uyiqaphele kakhulu. Lo muthi we-Verteporfin wenza isikhumba sakho namehlo akho azwele kakhulu elangeni nasezibanini ezikhanyayo ekhaya. Kufana nokuthi usuzosha.

• Ukuzwela kokukhanya: Lokhu kuzwela kungahlala cishe izinsuku ezi-5. Ngakho-ke, phakathi nalezi zinsuku ezi-5, kufanele uvikele isikhumba sakho namehlo akho elangeni eliqondile kanye nemithombo yokukhanya eqinile ekhaya (isb., amabhalbhu okukhanya angenamthunzi aseduze).
• Izinyathelo zokuphepha: Uma useduze nefasitela ekhaya emini, qiniseka ukuthi uvala amakhethini noma izithunzi ukuze uvimbele ukukhanya kwelanga okuqondile. Kodwa-ke, akuwona umqondo omuhle ukuba sebumnyameni obuphelele.Ukukhanya kwangaphakathi kuzosiza isikhumba sakho ukuthi sivale umuthi. Ungabuka i-TV noma uyobuka i-movie. Kodwa-ke, zama ukuhlehlisa imisebenzi yangaphandle kanye nomsebenzi wasegcekeni kuze kube kusihlwa, ngemva kokushona kwelanga.
• Uma uphuma: Uma kufanele uphume emini zingakapheli izinsuku ezi-5 zokuqala ngemva kwalokhu kwelashwa, qiniseka ukuthi ugqoka amahembe anemikhono emide namabhulukwe amade. Uma kungenzeka, gqoka izingubo ezijiyile nezinombala okhanyayo. Futhi, gqoka amasokisi, amasokisi, nezicathulo. Gqoka izibuko zelanga kanye nesigqoko esinompheme obanzi.
• I-sunscreen ayisebenzi: Kubaluleke kakhulu ukuqaphela ukuthi i-sunscreen ngeke isebenze ngalesi sikhathi. Okusho ukuthi, i-sunscreen ngeke ikuvikele ekuzweleni okubangelwa yilo muthi.
• Gwema: Izibani zelanga, imibhede/amadokodo okushiswa kwesikhumba. Gwema ukuchayeka ezibanini ze-halogen ezikhanyayo.
• Ngemva kwezinsuku ezi-5: Ngemva kwezinsuku ezi-5, ungasebenza ngaphandle njengokujwayelekile, ngaphandle kokuvikelwa okukhethekile.
• Ukuzwela kwamehlo: Ngemva kokuba umuthi usuphelile, amehlo akho angase abe nomuzwa omncane ekukhanyeni kwelanga, ezibanini ezikhanyayo, kanye nezibani zemoto izinsuku ezimbalwa.
• Ukushintsha kokubona nokushayela: Ngemva kokwelashwa, ungase ubhekane nezinguquko zesikhashana embonweni wakho. Lokhu kungenza kube nzima ngawe ukushayela noma ukusebenzisa imishini. Kungcono ukuyeka imisebenzi enjalo kuze kube yilapho lezi zimpawu zinyamalala.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, i-Verteporfin ingabangela imiphumela emibi. Eminye yayo kufanele ibikwe kudokotela wakho ngokushesha, kanti eminye kufanele ibikwe ngemva kwesikhathi uma iqhubeka.

Imiphumela emibi okufanele uyitshele udokotela wakho noma uchwepheshe wezokwelapha ngokushesha ihlanganisa:

• Ukusabela kokungezwani komzimba: (Ukuqubuka kwesikhumba, ukulunywa, noma ukuqubuka; Ukuvuvukala kobuso, izindebe, noma ulimi)
• Ama-blister, ukubomvu, ukuvuvukala kwesikhumba: (Njengokushiswa yilanga okukhulu)
• Ubuhlungu, ukubomvu, noma ukucasuka endaweni lapho kujovwe khona
• Ukuphefumula okunenkinga

Imiphumela emibi engavamile ukudinga iseluleko sezokwelapha, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka noma ikhathaza:

• Umbono ofiphele NOMA izinguquko embonweni

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona, ngakho-ke uma ubona noma yini engavamile, cela iseluleko kudokotela wakho.

Uyigcinaphi le mithi?

Ngeke uvunyelwe ukugcina lo muthi ekhaya. Uyatholakala esibhedlela noma emtholampilo, futhi unikezwa wona lapho.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho ake sikukhumbuze futhi ngezinye zezinto ezibaluleke kakhulu okudingeka uzikhumbule ngalo muthi we-Verteporfin esikhulume ngawo namuhla.

"Kalula nje, i-Verteporfin iwumuthi osebenza ngokukhanya osetshenziselwa ukwelapha izimo ezithile zamehlo (isb., ukuwohloka kwe-macular). Lokhu kubizwa ngokuthi ukwelashwa nge-photodynamic (PDT)."

• Ngaphambi kokuthola lokhu kwelashwa , kufanele utshele udokotela wakho lonke ulwazi lwakho lwezempilo kanye nemithi oyiphuzayo.
• Kufanele uqaphele kakhulu ngokukhanya kwelanga kanye nokukhanya okukhanyayo izinsuku ezi-5 ngemuva kokwelashwa. Landela izinyathelo zokuphepha ngqo. Khumbula, i-sunscreen ayisebenzi kulokhu!
• Uma uhlangabezana nanoma yiziphi izimpawu noma imiphumela emibi engavamile, yazisa udokotela wakho ngokushesha.
• Landela imiyalelo kadokotela wakho kahle futhi ungayeki ukuqokwa kokulandelela.

Uma uneminye imibuzo mayelana nalokhu kwelashwa, ungangabazi ukubuza udokotela wakho, usokhemisi, noma omunye umhlinzeki wezempilo. Bazokwazi ukukusiza.

I- Verteporfin, Izifo Zamehlo, Ukonakala Kwe-Macular, Ukwelashwa Nge-Photodynamic, Ukwelashwa Kwamehlo, i-PDT, i-Verteporfin, Ukubona Kwamehlo